Individual ProviderRachael KermisFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address8595 Picardy Ave Ste 200, Baton Rouge, LA 70809-3674(225) 763-4920PECOS EnrollmentBased on the most recent information from CMS, provider Rachael Kermis is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:51 AM.Profile DetailsProvider ID1265886303Provider TypeIndividualFull NameKermis, RachaelTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date4/14/2016Last Updated10/9/2019Contact InformationPractice LocationPractice Address8595 Picardy Ave Ste 200, Baton Rouge, LA 70809-3674Phone(225) 763-4920Fax(225) 763-4916Mailing LocationMailing Address8595 Picardy Ave Ste 200, Baton Rouge, LA 70809-3674Phone(225) 763-4920FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense319990LouisianaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer